| Brave Beginnings Counseling, Llc | |
|
1619 S Mattis Ave Champaign IL 61821-5470 | |
| (217) 979-9249 | |
| Not Available |
| Full Name | Brave Beginnings Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1619 S Mattis Ave, Champaign, Illinois |
| Authorized Official Name and Position | Latrice Willis (SOCIAL WORKER) |
| Authorized Official Contact | 2179799249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brave Beginnings Counseling, Llc 1619 S Mattis Ave Champaign IL 61821-5470 Ph: () - | Brave Beginnings Counseling, Llc 1619 S Mattis Ave Champaign IL 61821-5470 Ph: (217) 979-9249 |
| NPI Number | 1518621838 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518621838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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